| NPI | 1740207406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN KIMI SAITO Manager 864-322-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 9489) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 642) |
| 207Q00000X Family Medicine (Licence: SC 29257) | |
| 207Q00000X Family Medicine (Licence: SC 28658) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |